BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACUMED MAYO CLINIC CONGRUENT BONE PLATE SYSTEM

    MDR report key: 624848 · Received August 3, 2005

    Report

    Report Number
    3025141-2005-00004
    Event Type
    Other
    Date Received
    August 3, 2005
    Date of Event
    July 6, 2005
    Report Date
    August 3, 2005
    Manufacturer
    ACUMED
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BROKEN PLATE FOLLOWING NON-UNION. DATES NOT KNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACUMED MAYO CLINIC CONGRUENT BONE PLATE SYSTEM BONE PLATE HRS ACUMED PL-ELOX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention